Individual provider Active NPI

Anne Marie Farrell, NP

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1922561729
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019007201 Issued in MO
Practice address
19550 E 39TH St S Ste 200
Independence, MO 64057-2358
Phone
(816) 350-4200
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14-148222-021 KS
Registered Nurse 163W00000X 2011023599 MO
Family Nurse Practitioner 363LF0000X 2019007201 MO Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 200
Independence, MO 64057-2358

Mailing address

19550 E 39TH St S Ste 200
Independence, MO 64057-2358
Phone (816) 350-4200

Other names 1

  • Anne Marie Jacquin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANNE.FARRELL@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14-148222-021KSMDRegistered Nurse
2019007201MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: anne.farrell@hca2.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1922561729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-350-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-350-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-148222-021",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2011023599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019007201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANNE.FARRELL@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "19550 E 39th St S Ste 200",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "JACQUIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.